M51. 36 Other intervertebral disc degeneration, lumbar region - ICD-10-CM Diagnosis Codes.
Degenerative joint disease (DJD) in the lumbar spine is a common condition that is associated with chronic low back pain. Excessive loading of lumbar joints is a risk factor for DJD. Changes in lumbar lordosis significantly redistribute the forces of weight-bearing on the facet joints and the intervertebral discs.
According to Coding Clinic: “Assign code M16. 0—Bilateral primary osteoarthritis of hip for degenerative changes of hips”. Coding Clinic's rationale is, “ICD-10- CM's Alphabetic Index under “Degeneration, joint disease” instructs “see Osteoarthritis.”
M51. 16 Intervertebral disc disorders w radiculopathy, lumbar region - ICD-10-CM Diagnosis Codes.
Degenerative joint disease, or joint degeneration, is another name for osteoarthritis. It is known as “wear-and-tear” arthritis because it develops as joints wear down, allowing bones to rub against each other.
Degenerative disc disease or DDD can be the cause of many different symptoms resulting in localized pain or pain that radiates down the leg. Degenerative joint disease or DJD is very different, but can have overlapping symptoms with DDD.
ICD-10 code M19. 90 for Unspecified osteoarthritis, unspecified site is a medical classification as listed by WHO under the range - Arthropathies .
ICD-10 code: G31. 9 Degenerative disease of nervous system, unspecified.
96.
061 Spinal stenosis, lumbar region without neurogenic claudication.
ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .
ICD-10 Code M54. 5 for Chronic Low Back Pain | CareCloud.
Physical therapy can help stretch and strengthen the right muscles to help the back heal and reduce the frequency of painful flare-ups. Lifestyle modifications, such as changing your posture, losing weight or giving up smoking, can sometimes help reduce stress on the damaged disc and slow down further degeneration.
Social Security has two disability listings that can apply to degenerative joint disease: abnormality of a major joint (1.18) and reconstructive surgery or surgical arthrodesis of a major weight-bearing joint (1.17).
The degenerative process of the spinal disc may start gradually or suddenly, but progresses over 2 to 3 decades from severe and at times even disabling bouts of pain to a state in which the spine is restabilized and the pain is diminished.
Degenerative disc disease isn't actually a disease, but rather a condition in which a damaged disc causes pain. This pain can range from nagging to disabling. The condition can be caused by the drying out of the disc over time, daily activities, sports and injuries.
Spinal stenosis, lumbar region 1 Lumbar spinal stenosis no neurogenic claudication 2 Lumbar spinal stenosis w neurogenic claudication 3 Myelopathy due to spinal stenosis of lumbar region 4 Neurogenic claudication co-occurrent and due to spinal stenosis of lumbar region 5 Neurogenic claudication due to spinal stenosis of lumbar region 6 Spinal stenosis lumbar region 7 Spinal stenosis lumbar region, neurogenic claudicati 8 Spinal stenosis of lumbar region 9 Spinal stenosis of lumbar region with myelopathy 10 Spinal stenosis of lumbar region without neurogenic claudication 11 Spinal stenosis of lumbar spine 12 Stenosis of lumbar spine with myelopathy
The 2022 edition of ICD-10-CM M48.06 became effective on October 1, 2021.
pain in thoracic spine due to intervertebral disc disorder ( M51.-)
M01.X1 Direct infection of shoulder joint in infecti...
The 2022 edition of ICD-10-CM M19.90 became effective on October 1, 2021.
Noninflammatory degenerative joint disease occurring chiefly in older persons, characterized by degeneration of the articular cartilage, hypertrophy of bone at the margins, and changes in the synovial membrane, accompanied by pain and stiffness.
A progressive, degenerative joint disease, the most common form of arthritis, especially in older persons . The disease is thought to result not from the aging process but from biochemical changes and biomechanical stresses affecting articular cartilage. In the foreign literature it is often called osteoarthrosis deformans.
Though it is not specifically mentioned, “thoracolumbar” likely only includes T12-L1, and “lumbosacral” probably only refers to the L5-S1 interspace. There is a strange rule for cervical disc disorders indicating that you should code to the most superior level of the disorder.
Only use the fourth character “9” for unspecified disc disorders if the documentation does not indicate anything more than the presence of a disc problem. But beware, payors are expected to ask for clarification if unspecified or “NOS” codes are used.
9 = unspecified disc disorder. The fifth character provides detail about the anatomical location within the spinal region. A basic knowledge of spinal anatomy should make fifth-character selection easy, but only if it is documented properly. This includes transitionary regions.
These spinal disc codes appear to be a bit complex, but with some study and evaluation, the logic used to create them becomes clear. The provider can use the codes to guide proper documentation and the coder then can select the right codes with confidence.
It is already included in the code. Likewise, don’t code sciatica (M54.3-) if you code for lumbar disc with radiculopathy. It would be redundant. On a side note, lumbar radiculopathy (M54.16) might be used if pain is not yet known to be due a disc, but it radiates from the lumbar spine.